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Home My WebLink AboutSWG2024-00472 - SWG Application / Design - 12/20/2024 LTON, WA 584 MASON COUNTY 415NBSHELTON: ,SHE7-967 .EXT 400 SHELTON:360d27-9870,EXT 400 BELFAIR:360-2754467,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2024-00472 APPLICANT SCHREINER JOSEPH H &MARIANNA Phone: Address: 2415 DANBURY CT SE OLYMPIA, WA 98501 OWNER SCHREINER JOSEPH H &MARIANNA Phone: Address: 2415 DANBURY CT SE OLYMPIA, WA 98501 SEPTIC DESIGNER JIM HUNTER- Phone: 360-753-1226 Address: PO BOX 162 OLYMPIA,WA 98507 Site Address: 10561 E STATE ROUTE 106 Primary Parcel Number: 322255100030 Permit Description: Repair-Replace pipe and gravel in pressure sandlined bed Permit Submitted Date: 1212012024 Permit Issued Date: 1 2/2 612 0 24 Issued By: Rhonda Thompson Current Permit Fees Paid: $265.00 (Adt....1 lee:may ba,aqu..d goo�Ioswluuoo or:yabm} Permit Expiration Date: 12/26/2025 (baoed eq ealemmsgegrqql Type of Work OSS Repair Components being Replaced: Other Surfacing Sewage? No Existing Failure? Yes Shoreline? Yes Horizontal Setbacks Met? Yes Number of Bedrooms: 4 Drinking Water Source: Public Water System Additional Details: NIA Permit Conditions: 1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 3 Mason County Asbui/t Form, Record Drawing, and Installation fee must be submitted for final installation approval. 4 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND/OR DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masonwuntywa.gov/health/environmental/onsite/oss-inspection-requestphp or tail: 360-427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH GARKS' . /7 2 d4 D7 GO ONSITE SEWAGE SYSTEM APPLICATION AMWNTKSTNE IRS-- Il 0 415N6th Sheel(Bldg8) SheBonWA98584 N Sheltm:3W427-9670ext40o BeNaiD3E0-275-4467w4W SWG L W 6 Wcl _ ryT I/V O A 2 N APPLICANT PTj D A MIKE BREWER 360 507-1000 m m M UNGA➢DRESS-STREET,CITY,STATE,ZIP CODE r PO BOX 14996 TUMWATER WA 98584 a SDEADDRESS-STREETCm',ZIPCODE Oo 10561 E STATE RT 106 UNION WA 98592 m NAME OF DESIGNER UrL, PHONE �7 I4�`I JIM HUNTER 360 753-1226 KANE OF INSTALEfl Jy PHONE CHECKALLAPPLICAMEDEMS DRINKING 4WTERSWRCE z I� NEWCONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDNIDUALWELL y O O WO- Il�p REPIACEMENTSYSTEM E3 INSTALLATION PERMIT ONLY J PRIVATETPARTYWELL Z ❑ TABLE REPAIR SINGLE FAMILY If COMMUNRY/PUBLIC NNTER SYSTEM ph TANKIS)ONLY [3 COMMERCIAL SYSTEAI NAME: UMMORN II�TI 0 UPGRADE TO EXISTING M OTHER:" ULDOMTRMUDOWNEm W BEDROOMS LOT SIZE Iv` 0 EXISTING FAILURE wweWN191e9PANN 4 W I� en McMl S^ MRECTONS MINTS-BE SPECWICANDAUVISE OFANV NEEDED INFOW TION FORACCESS(u.trYJ9N) A b yr IB^c,', I"' MTENIRTBEFIAGOEDPROMMAMROAOANOTESTH MUSTSEF GGEGHTINTESTNM£NUMBERS IO OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FNWRE SOURCE(Wnp In N,) OVOLUNTARY OMAINTENANCEIPUMPING O BUILDING PERMIT ❑HOMESALE ❑COMPUIINT ❑OTHER: _ INSPECTOR SOIL LOGS CONMENIS/CONDNKMS apal� - in WILCODES: V=VERY G=GRAVELLY S-SAND L=LOMA S,=MLT C=CLAY E-EXTREMELY R=ROOTS INSPECTOR SIGMTURE GATE I APPLICATION EXPIRATION DATE APPLICATION APPROVED BY I DATE C/ of • rT THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE I REViSSFU II ll.alts • DESIGN FORM—PACE ONE Assessor's Parcel Number:3a��°2 5- -- A design will be reviewed when 3 conle8 of each of the following are submitted: Completed design form that has been signed and dated. 0 Scaled layout sketch,including all applicable items on checklist Scaled plot plan,including all applicable items on checklist s Cross-section sketch,including all applicable items on checklist. This form may be scanned and available for public view on the Mason County Web site.M¢imam paper size: II X 17" PARCEL IDENTIFICATION Permit Number. SWG 2U4-0Q!`f72 Designer's Name: JIM HUNTER Applicant's Name: MIKE BREWER Designer's Phone Number: 360-763-1226 Mailing Address: PO BOX 14996 Designer's Address: PO BOX 162 TUMWATER WA 98594 OLYMPIA WA 98507 City State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter 0 Sand Filter ❑Mound ❑Sand Lined Drelnfield ❑Recirculating Filter,Type: 0 Aerobic Unit Make/Model ❑Disinfection Unit MA.Model Other. Draiutield Type ❑Gravity ❑Pressure ❑Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class 40 Daily Flow:Operating Capacity 480 gpd Length 40 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity EXISTING gal Number 3 Receiving Soil Type(1-6) 1 Separation 3 ft Receiving Soil Appl.Rate 1.2 gpd/fir Orifices Required Primary Area 400 ft, Total Number of Orifices EXISTING Designed Primary Area 400 ftz Diameter 3/16 in Designed Reserve Area N/A ftz Spacing 24 in Trench/Bed Width 10 ft Manifold TreachBed Length 40 ft Schedule/Class SCH40 Elevation Measurements Length 6 ft Original Dminfield Area Slope 0 a/ Diameter 2 in New Slope,If Altered 0 % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-elope 48 in Transport Pipe from Original Grade ,anelope 48 in Schedule/Class SCH40 Designed Vertical Separation 24 in Length EXISTING ft Gravelless Chambers Required? ❑Yes 0 No I f0ptional Diameter 2 in Pump Required? IN" 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day EXISTING Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity EXISTING gal Orifice WA ft Chamber Capacity EXISTING gal Uppermost Orifice If Higher 0 Lower than Pump Shutoff Pump controls:Please c k th a required. _/ Capacity @ Total Pressure Head N/A gpm Diner. lapse Meter vent Counter Pressure Calculated Total sure Head WA ft If Timer: Pump on EXIS ING ,pump off ISTING commenter H1 � &14Z mG Qi � COv►'1�'e'ti' I� bkt- DESIGN FORM—PAGE TWO Assessor's Parcel Number:a 121aa _E1 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch E9 Test hole locations 1Z Drainfield orientation and layout Reference depth from original grade: 1f Soil logs Rf Trench/bed dimensions and 9 Septic tank 19 Property lines critical distances within layout 11 Drainfield cover E9 Existing and proposed wells E9 D-Box/Valve box locations Reference depth from original grade within 100 ft of property Ed Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations Cl Laterals,trench/bed,top and surface water and critical areas 9 observation port location bottom EZ Location and orientation of a Clean-out location ❑ Curtain drain collector curtain drain and all absorption ff Manifold placement ❑ Sand augmentation components 9 Orifice placement Other cross-section detail: 19 Location and dimension of d Lateral placement with distance 9 Observation ports/clean-outs primary system and reserve area to edge of bed 19 Buildings Information 9Audible/visual alarm Yes N referenced Yes No 0 Direction of slope indicator 19 Scale of drawing shown on scale Design Ej ❑ staked out 19 Waterlines bar ❑ ❑Recorded Notices attached 12 Roads,easements,driveways, ❑ ❑Waiver(s)attached parking ❑ ❑Pump curve attached 1d North arrow and scale drawing ❑ ❑Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer most be tfi d ❑er at time of installation ❑Yes Of No 2. 7 Sipffature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site regulations: ^� / �7 � � !/("1 'il Environmental Health pecialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Pemrit has not expired,the Permit Expiration Date is: ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. An Installation Fee is required. This form may be scanned and available for public view on the Mason County Web site. Updated Date: 12/7/2015 i 0 5 o i N /V II I � jlll i S + ill i II iI i i V ry v: s z I, I ra �1 5 II O � ot vi T rm ym Om OmJ 4) ;MD D m y = n n � m a m i c m Z � m p rn w X0 r P N a �i